Agama Tantra Initiation - Application

AGAMA TANTRIC INITIATION APPLICATION FORM

Application for Admission

Please complete this application fully. After submitting your application please pay the deposit for the course (paid on the event page) and send a recent photo (max 100kb) to ttcregistration@agamayoga.com. 10 weeks before the course starts, one of our ATI facilitators will contact you to conduct a Skype interview. Swami will also review your application. And then a selection will be made by the ATI team from all the applications who have applied. 12 people will be accepted for the program.

Incomplete applications will be returned to the applicant for completion and re-submission. Incomplete refers to: omitted signature representation or verification of having read the Terms and Conditions or Payment and Refund pages, missing answers, etc.

PERSONAL DETAILS

First Name

Family name

Last Name

Gender

Male Female

Home address

City

State / Province

Country

Postal code

Phone (Mobile)

Phone (Home)

Date of birth

Birth time

Birth place (City, Country)

Alternate email (if any)

Current occupation

Education/Vocational skills

Languages spoken

Are you planning to attend the TTC with a friend / partner / spouse / child? If so, provide name(s) and relationship(s)

EMERGENCY CONTACT INFORMATION

Name Emergency Contact

Phone Emergency Contact

Email Emergency Contact

Relationship

YOGA EXPERIENCE

How long have you been practicing yoga?

Not at all 6 months to 1 year More than 1 year

If more than one year: How many years?

If you are already a Yoga practitioner, which style/tradition do you practice?

Briefly describe your Yoga practice if you have one:

If you have studied with Agama, at what location, when, and for how many months have you studied:

If you have previously studied with Agama, please name the teachers with whom you studied:

If you have not studied with Agama, what makes you feel confident that Agama Yoga is the Yoga style you wish to teach?

Do you have any experience teaching Yoga?

Yes No

If yes, how long have you been teaching and in which tradition/style:

Please describe any other spiritual or meditation practices that are important to you:

The following are pre-requisites for participating in the ATI. These courses must have been completed before the start of the ATI. Please mark what you have completed to date.

Agama Level 1

Essence of Tantra or Taste of Tantra

Evolving through Tantra

Tantra of Relationships

IN-DEPTH

This section of the application is intended to give us a better understanding of you as a person. We encourage you to include any transformational experiences or turning points in your life that have brought you to your current personal relationship with Yoga and aspiration to become a teacher. Please give short answers (maximum 200 words each) to the following questions:

Why have you chosen to apply to the Agama Tantric Initiation program? What is it specifically about the Agama approach that interests you?

Please provide us with a brief outline of your practical tantric experience. For example how many years have you been practicing Tantra? For men please indicate how many years/months you have been continent, for women, what

Please list in order of important why you are interested in joining the ATI, 1 being the most important. You can also add your own additional reasons if they are not listed here.

To learn new things about myself

Overcome inhibitions, fears, and shames in regards to my sexuality

To be able to qualify to apply for the Tantra Instructor Training

To practice Tantric rituals

To do intense inner work with an intimate group

My most important goals (above) are important to me because:

What do you hope to get out of the ATI?

What do people most often criticise you for?

What do you most often criticise others for?

What do you think will be the biggest challenge for you in the ATI?

What else do you think we should know about you to better understand you?

FULL DISCLOSURE

IIn order to make informed decisions, the teachers and staff at Agama must be able to rely on the truthfulness of information provided by applicants. The information an applicant provides on this form is treated as confidential and will only be seen by those teachers and staff involved with the Teacher Training Course. Before submitting this application to Agama, it is required that you read the following documents. Your initials indicate that you have carefully read and accepted the terms set forth in each document.

How do you intend to pay for the program

If you specified 'other' please indicate how you intend to pay

Terms of Agreement

Registration Policies

Upon arrival, you will be asked to sign these documents for Agama's records. It is recommended that you keep a copy for your own records.

Note: Before applying for the Agama TTC, please take into consideration that an Agama Yoga teacher should not smoke or take recreational drugs or illicit substances. It is mandatory that those who wish to become Agama teachers completely renounce smoking and the use of recreational drugs before starting the Agama TTC. Non-compliance with this requirement may provide grounds for expulsion from the program or the withholding of teaching certification.

“By checking the signature box and typing my full name below, I affirm that the information provided on this application form is true and complete to the best of my knowledge. False, incomplete, or misleading information is grounds for rejection of this application, expulsion from the program, or revocation of certification after completion of the program."

By checking this box, I indicate my signature as verification of the statement above.

Print Full First Name / Family Name

Today Date

I have read and accept Terms & conditions

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